Comparison Of Dynamics Of Cytolytic And Cholestatic Indicators And The Tempo Of The Biliary Decompression After One-Step Laparoscopic And Open Operation Interventions Of Patients With Choledocholithiasis Complicated Obstructive Jaundice (Message 2)

Authors

  • M. Yu. Nychytaylo I. Horbachevsky Ternopil State Medical University
  • O. I. Dzubanovskyi О. Shalimov National Institute of Surgery and Transplantology

DOI:

https://doi.org/10.11603/2414-4533.2017.1.7638

Keywords:

choledocholithiasis, cytolysis, cholestasis, holedochoduodenoanastomosis, laparoscopic holedocholitotomy, tempo of decompression.

Abstract

The aim of the work: to determine the tempo of decompression of the bile duct and to assess cytolysis and cholestasis syndrome after laparoscopic and one-step open operation interventions in patients with choledocholithiasis, obstructive jaundice complicated.

Materials and Methods. A comparison of the dynamics of biochemical indicators of cholestasis and cytolysis rate and tempo of biliary decompression was presented in 81 patients with obstructive jaundice complicated choledocholithiasis with different levels of bilirubin in 3, 5 and 7 days after the one-step laparoscopic and open operation interventions. Tempo of biliary decompression was calculated using T. Shmizu and K. Yoshida formula in modification of E. I. Halperin.

Results and Discussion. It was found that laparoscopic holedoholitotomy in patients with bilirubinemia level of 100 mmol/l and 100 to 200 mmol/l was accompanied by prolonged and moderate tempo of decompression that is optimal in post decompression period. In patients with bilirubinemia level from 100 to 200 mmol/l, which was performed holedohoduodenostomy, fast paced decompression observed in the postoperative period, requiring preventive medicine correction of possible "rapid decompression " syndrome.

References

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Published

2017-06-19

How to Cite

Nychytaylo, M. Y., & Dzubanovskyi, O. I. (2017). Comparison Of Dynamics Of Cytolytic And Cholestatic Indicators And The Tempo Of The Biliary Decompression After One-Step Laparoscopic And Open Operation Interventions Of Patients With Choledocholithiasis Complicated Obstructive Jaundice (Message 2). Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 8–16. https://doi.org/10.11603/2414-4533.2017.1.7638

Issue

No. 1 (2017)

Section

ORIGINAL INVESTIGATIONS

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